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The Florida CF 831 form is an essential document for those seeking certification for a Batterer Intervention Program (BIP) within the state. This application serves multiple purposes, including initial certification, annual renewal, and updates related to changes in ownership, address, or program directors. For new applicants, a fee of $300 is required, while renewals cost $150. It is important to note that each circuit requires a separate application and fee, and all submissions must be mailed to the Department of Children and Families along with necessary documentation. The form requires detailed information about the program, including its name, location, contact details, and the judicial circuit served. Additionally, applicants must provide information about the onsite director and facilitators, ensuring that all personnel meet the department's approval standards. The application process emphasizes the importance of accuracy; incomplete submissions will not be accepted, and any misrepresentation could lead to rejection or suspension of certification. By completing the CF 831 form, applicants affirm their commitment to comply with state regulations governing Batterer Intervention Programs, highlighting the significance of maintaining high standards in addressing domestic violence issues.

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Check Appropriate Box(es)

APPLICATION FOR CERTIFICATION

 

New - $300

 

 

Renewal - $150

 

BATTERER INTERVENTION PROGRAM

 

Change of Ownership

 

 

 

 

Change of Address

 

 

Change of Director

PLEASE TYPE OR PRINT LEGIBLY

Instructions: This application must be completed for new certification as well as annual renewal by the owner of the program or in the case of a corporation or partnership, the designated representative of the owner. A separate application and fee must be submitted for each circuit. Mail the application with the application fee and required documents to the department at the address provided. Make checks payable to the Department of Children & Families. Renewal of certification is contingent upon completion of any corrective action imposed by the department. An incomplete application will not be accepted.

PROGRAM INFORMATION

Program ID (Not required for new applications)

Name of Program as it is to appear on certification

Program Street Address (do not enter P.O. Box) If more than one location, attach additional sheet(s).

Judicial Circuit Served

City

County

Zip Code

Number of Locations within Circuit

Telephone No.

Fax No.

Email Address

Program Mailing Address, if different

City

County

Zip Code

GROUP(S) SCHEDULE

List locations, day, and time for group(s). For first-time applicants, list proposed schedule

STREET ADDRESS, CITY, COUNTY

DAY

TIME

 

 

 

 

 

 

 

 

 

 

 

 

ONSITE DIRECTOR INFORMATION (If multiple sites with multiple directors, attach additional sheets.)

For initial application, attach copy of resume and CF 1649D, Declaration of Good Moral Character form

Name of Director FIRST

MIDDLE

LAST

Professional License No. (if applicable)

 

 

 

 

City

County

Zip Code

Telephone No.

Fax No.

Email Address

FACILITATOR INFORMATION (Attach additional sheets if needed.)

All facilitators must be approved by the department. For each, attach college transcript, training certificates, current resume and CF 1649D, Declaration of Good Moral Conduc form. Attachments are not required for previously approved facilitators on renewal applications, but must be maintained in personnel file.

Name

FIRST

MIDDLE

LAST

Professional License No. (if applicable)

Name

FIRST

MIDDLE

LAST

Professional License No. (if applicable)

Name

FIRST

MIDDLE

LAST

Professional License No. (if applicable)

Name

FIRST

MIDDLE

LAST

Professional License No. (if applicable)

APPLICANT INFORMATION (Applicant is the person with authority to request certification.)

For initial application attach copy of resume and CF 1649D, Declaration of Good Moral Character form

Name of Applicant

FIRST

MIDDLE

LAST

Position/Title

 

 

 

 

 

Check One:

Owner

Designated Representative (Applicable to corporations and partnerships only.)

Applicant's Mailing Address

City

County

Zip Code

 

Telephone No.

 

Fax No.

 

Email Address

 

 

 

 

 

 

 

 

CF 831, January 2007

 

 

 

 

 

Authority: ss. 741.325-327, F.S.,

Chap. 65H-2, FAC

1 of 2

Office of Domestic Violence Program

LEGAL OWNERSHIP OF BIP

Complete only one of the categories listed below.

INDIVIDUAL

For initial application attach copies of resume, all licenses and CF 1649D, Declaration for Good Moral Conduct form

Name of Owner

FIRST

MIDDLE

LAST

Position/Title

 

 

 

 

 

FEID No.

Professional License No.

City Business License No.

Co. Business License No.

Business Mailing Address

City

County

Zip Code

Telephone No.

Fax No.

Email Address

Role in BIP (attach additional sheets if necessary):

CORPORATION (not-for-profit or for profit)

Attach certificate of status or acknowledgement letter of registration from the FL Dept. of State, and current list of directors with title, address and phone number. Failure by any corporation to comply with all requirements under Chapter 607, F.S., is grounds for rejection or suspension of certification.

Registered Name

FEID No.

Document No.

City Business License No.

County Business License No.

Registered Agent

Position/Title

Registered Mailing Address

City

County

Zip Code

Telephone No.

Fax No.

Email Address

Role in BIP (attach additional sheets if necessary):

PARTNERSHIP (limited or general)

Attach certificate of status or acknowledgement letter of registration from the FL Dept. of State, and a list of partners with title, address and phone number. Failure by any partnership to comply with all requirements under Chapter 620, F.S., is grounds for rejection or suspension of certification.

Registered Name

FEID No.

Document No.

City Business License No.

County Business License No.

Registered Agent

Position/Title

Registered Mailing Address

City

County

Zip Code

Telephone No.

Fax No.

Email Address

Role in BIP (attach additional sheets if necessary):

I declare that the named program in this application meets all standards for state certification as required by Chapter 65H-2, Florida Administrative Code and section 741.325, Florida Statutes. By submission of this application and upon approval by the Department of Children and Families, I agree to abide by all rules and statutes that apply to the operation of a certified batterer intervention program. I understand that any omissions, misstatements, or misrepresentations are grounds for rejection or suspension of certification. I understand that the certification fee is non-refundable and certification is for one year and non-transferable. I understand that knowingly making a false statement on this application constitutes a second- degree misdemeanor as provided in section 837.06, Florida Statutes. By signing this application, I am declaring that all the information given within this application is true and correct.

Signature of Applicant

 

Date

CF 831, January 2007

 

 

Authority: ss. 741.325-327, F.S., Chap. 65H-2, FAC

2 of

Office of Domestic Violence Program

ATTACHMENT 1

 

 

 

 

 

APPLICATION FOR CERTIFICATION

 

 

 

 

 

BATTERER INTERVENTION PROGRAM

 

 

 

 

 

ADDITIONAL PROGRAM LOCATIONS

Authority: ss. 741.325, 741.327, F.S., Chap. 65C-5, F.A.C.

 

 

 

 

 

 

 

PLEASE TYPE OR PRINT LEGIBLY

 

 

Instructions: For programs with more than one business location, please provide information for each location.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PROGRAM & ONSITE DIRECTOR INFORMATION

 

 

A copy of the resume and DCF Form ___, Affidavit of Good Moral Character, is required for initial certification only.

Name of Program

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Program Street Address (do not enter P.O. Box)

 

 

 

 

Number of Locations

 

 

 

 

 

 

 

 

 

 

City

 

 

 

County

 

 

Zip Code

 

Judicial Circuit

 

 

 

 

 

 

 

 

 

Telephone No.

 

 

Fax No.

 

 

Email Address

 

 

 

 

 

 

 

 

 

 

Name of Director

FIRST

MIDDLE

LAST

Professional License No. (if applicable)

 

 

 

 

 

 

 

 

 

City

 

 

 

 

 

County

 

Zip Code

 

 

 

 

 

 

 

 

 

Telephone No.

 

 

Fax No.

 

 

Email Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Program Street Address (do not enter P.O. Box)

 

 

 

 

Number of Locations

 

 

 

 

 

 

 

 

 

 

City

 

 

 

County

 

 

Zip Code

 

Judicial Circuit

 

 

 

 

 

 

 

 

 

Telephone No.

 

 

Fax No.

 

 

Email Address

 

 

 

 

 

 

 

 

 

 

Program Mailing Address, if different

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

 

 

County

 

Zip Code

 

 

 

 

 

 

 

Name of Director

FIRST

MIDDLE

LAST

Professional License No. (if applicable)

 

 

 

 

 

 

 

 

 

City

 

 

 

 

 

County

 

Zip Code

 

 

 

 

 

 

 

 

 

Telephone No.

 

 

Fax No.

 

 

Email Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Program Street Address (do not enter P.O. Box)

 

 

 

 

Number of Locations

 

 

 

 

 

 

 

 

 

 

City

 

 

 

County

 

 

Zip Code

 

Judicial Circuit

 

 

 

 

 

 

 

 

 

Telephone No.

 

 

Fax No.

 

 

Email Address

 

 

 

 

 

 

 

 

 

 

Program Mailing Address, if different

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

 

 

County

 

Zip Code

 

 

 

 

 

 

 

Name of Director

FIRST

MIDDLE

LAST

Professional License No. (if applicable)

 

 

 

 

 

 

 

 

 

City

 

 

 

 

 

County

 

Zip Code

 

 

 

 

 

 

 

 

 

Telephone No.

 

 

Fax No.

 

 

Email Address

 

 

(

)

 

 

(

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CF 831, April 2006

Office of Domestic Violence Program

Page 1 of Attachment 1

ATTACHMENT 2

APPLICATION FOR CERTIFICATION

BATTERER INTERVENTION PROGRAM

FACILITATORS

Authority: ss. 741.325, 741.327, F.S., Chap. 65C-5, F.A.C.

PLEASE TYPE OR PRINT LEGIBLY

Instructions: Please list additional facilitators below.

FACILITATOR INFORMATION

All facilitators must be approved by the department. Attach copies of college transcripts, training certificates, current resume and DCF Form ___, Affidavit of Good Moral Conduct. Documents are not required for previously approved facilitators on renewal applications.

Name

FIRST

MIDDLE

LAST

Professional License No. (if applicable)

 

 

 

 

 

Name

FIRST

MIDDLE

LAST

Professional License No. (if applicable)

 

 

 

 

 

Name

FIRST

MIDDLE

LAST

Professional License No. (if applicable)

 

 

 

 

 

Name

FIRST

MIDDLE

LAST

Professional License No. (if applicable)

 

 

 

 

 

Name

FIRST

MIDDLE

LAST

Professional License No. (if applicable)

 

 

 

 

 

Name

FIRST

MIDDLE

LAST

Professional License No. (if applicable)

 

 

 

 

 

Name

FIRST

MIDDLE

LAST

Professional License No. (if applicable)

 

 

 

 

 

Name

FIRST

MIDDLE

LAST

Professional License No. (if applicable)

 

 

 

 

 

Name

FIRST

MIDDLE

LAST

Professional License No. (if applicable)

 

 

 

 

 

Name

FIRST

MIDDLE

LAST

Professional License No. (if applicable)

 

 

 

 

 

CF 831, April 2006

Office of Domestic Violence Program

Page 1 of Attachment 2

Form Specifications

Fact Name Details
Form Purpose The Florida CF 831 form is used to apply for certification of Batterer Intervention Programs.
Application Fees A new application costs $300, while a renewal is $150.
Governing Laws This form is governed by Florida Statutes sections 741.325-327 and Chapter 65H-2 of the Florida Administrative Code.
Submission Requirements Applicants must complete the form legibly and submit it along with the required fees and documents.
Renewal Conditions Renewal is contingent upon completing any corrective actions imposed by the Department of Children & Families.
Multiple Locations For programs with more than one location, additional sheets must be attached to provide details for each site.
Signature Requirement The applicant must sign the form, declaring that all information provided is accurate and true.

Florida Cf 831: Usage Guidelines

Filling out the Florida CF 831 form is an important step in the process of obtaining or renewing certification for a Batterer Intervention Program. After completing the form, you will need to submit it along with the required fees and documents to the appropriate department. Make sure all information is accurate and complete to avoid any delays in processing.

  1. Check the appropriate box(es) at the top of the form to indicate whether you are applying for new certification, renewal, or making changes such as ownership or address.
  2. Provide program information including the name, street address (not a P.O. Box), judicial circuit served, city, county, zip code, number of locations within the circuit, and contact information (telephone, fax, and email).
  3. List group schedule by detailing locations, days, and times for group sessions. For first-time applicants, include a proposed schedule.
  4. Fill in onsite director information including the director's name, professional license number (if applicable), and contact details. Attach a resume and the CF 1649D form for initial applications.
  5. Provide facilitator information by listing all facilitators involved. Include their names, professional license numbers (if applicable), and attach required documents such as college transcripts and training certificates for each facilitator. Previously approved facilitators do not need attachments for renewals.
  6. Complete applicant information by providing the name of the applicant, position/title, and contact details. If applicable, indicate whether the applicant is the owner or designated representative.
  7. Fill out legal ownership details by selecting the appropriate category (individual, corporation, or partnership). Provide the necessary information and attach required documents for the selected category.
  8. Sign and date the application to certify that all provided information is accurate and that you agree to abide by the rules and regulations.

Once the form is complete, review it carefully to ensure accuracy. After that, mail the application along with the required fees and any supporting documents to the designated department address. Remember to keep a copy of everything for your records.

Your Questions, Answered

What is the Florida CF 831 form?

The Florida CF 831 form is an application for certification of a Batterer Intervention Program. It is required for both new certifications and annual renewals. The form must be completed by the program owner or a designated representative if the owner is a corporation or partnership.

What are the fees associated with the CF 831 form?

For new applications, the fee is $300. If you are renewing an existing certification, the fee is $150. Payment must be made by check, payable to the Department of Children & Families.

What information is required on the CF 831 form?

The form requires detailed information about the program, including its name, address, judicial circuit served, and contact information. Additionally, it requires information about the onsite director and facilitators, including their qualifications and professional licenses, if applicable.

How should the CF 831 form be submitted?

The completed form, along with the application fee and any required documents, should be mailed to the Department of Children & Families at the designated address. It is important to ensure that the application is complete, as incomplete submissions will not be accepted.

What happens if the application is incomplete?

An incomplete application will not be accepted by the Department of Children & Families. It is crucial to provide all requested information and attachments to avoid delays in the certification process.

What documents must accompany the CF 831 form?

For initial applications, a resume and a Declaration of Good Moral Character form (CF 1649D) must be attached. For facilitators, college transcripts, training certificates, and resumes are also required. However, previously approved facilitators do not need to submit these documents for renewal applications.

How long is the certification valid?

The certification is valid for one year. It is non-transferable and must be renewed annually to remain in compliance with state regulations.

What are the consequences of providing false information on the application?

Providing false information on the CF 831 form is considered a second-degree misdemeanor under Florida law. Any omissions, misstatements, or misrepresentations can lead to rejection or suspension of certification.

Can I submit the application for multiple locations?

If your program operates in multiple locations, a separate application and fee must be submitted for each circuit. Additional sheets can be attached to provide information for each location as needed.

Common mistakes

  1. Not Typing or Printing Legibly: Many applicants forget to type or print their information clearly. This can lead to misunderstandings or errors in processing the application.

  2. Incomplete Applications: Submitting an incomplete application is a common mistake. Each section must be fully filled out to avoid rejection.

  3. Incorrect Fee Submission: Some individuals send the wrong fee amount. It is essential to check if the application is for new certification or renewal and pay the correct fee.

  4. Missing Required Documents: Failing to include necessary documents, such as resumes or the Declaration of Good Moral Character form, can result in delays or rejection.

  5. Ignoring the Judicial Circuit Requirement: Applicants sometimes overlook the need to specify the judicial circuit served. This information is crucial for processing.

  6. Not Updating Contact Information: Some applicants do not provide current contact details. This can hinder communication and updates regarding the application status.

Documents used along the form

The Florida CF 831 form is essential for the certification of batterer intervention programs. However, it is often accompanied by several other important documents that help ensure compliance with state regulations. Below is a list of these documents, each serving a specific purpose in the application process.

  • CF 1649D, Declaration of Good Moral Character: This form must be completed by the program's owner, director, and facilitators. It attests to their moral character and suitability to work in a batterer intervention program.
  • Application for Certification for Additional Program Locations: If a program operates in multiple locations, this document provides necessary details for each site, including address and director information.
  • Facilitator Information Attachment: This attachment lists all facilitators involved in the program. It requires documentation of their qualifications, such as resumes and training certificates.
  • Certificate of Status or Acknowledgment Letter: Corporations and partnerships must submit this document from the Florida Department of State, confirming their legal standing and compliance with state regulations.
  • Business Licenses: Depending on the ownership structure, copies of relevant business licenses may be required to demonstrate legal operation within the state.
  • Resume of the Applicant: The individual applying for certification must include a resume outlining their qualifications and experience relevant to running a batterer intervention program.

Gathering these documents thoroughly and accurately is crucial. Each plays a vital role in the certification process and helps maintain the integrity of batterer intervention programs in Florida. Ensuring that all forms are completed correctly will facilitate a smoother application experience.

Similar forms

The Florida CF 831 form is essential for the certification of Batterer Intervention Programs. It shares similarities with several other forms used in various certification and application processes. Below is a list of documents that are comparable to the CF 831 form, highlighting their similarities.

  • Application for Child Care Facility License - Like the CF 831, this application requires detailed information about the program, including ownership, location, and personnel qualifications. Both forms emphasize the importance of compliance with state regulations.
  • Application for Substance Abuse Treatment Provider - This document also necessitates a comprehensive overview of the program, including the qualifications of facilitators and directors. Both applications focus on the integrity and standards required for state certification.
  • Application for Mental Health Provider License - Similar to the CF 831, this application demands information about the program's structure and staff qualifications. Both forms require adherence to specific state laws and regulations governing their respective fields.
  • Application for Domestic Violence Shelter Certification - This application parallels the CF 831 by requiring detailed program information, including staff qualifications and program objectives. Both are designed to ensure that the programs meet established standards for service delivery.
  • Application for Behavioral Health Services License - This document shares the necessity for comprehensive program details, including ownership and staff qualifications. Like the CF 831, it mandates compliance with state statutes and regulations.
  • Application for Home Health Agency License - This application is similar in that it requires detailed information about the program's services, ownership, and staff credentials. Both documents are aimed at ensuring the safety and efficacy of the services provided.
  • Application for Youth Camp License - Like the CF 831, this application requires extensive documentation regarding the program's operation, staff qualifications, and compliance with safety standards. Both forms serve to protect the welfare of the participants involved.

Dos and Don'ts

When filling out the Florida CF 831 form, it is essential to approach the process with care. Here are five important dos and don'ts to keep in mind:

  • Do read the instructions thoroughly before beginning the application.
  • Do ensure that all information is typed or printed legibly.
  • Do submit a separate application for each circuit if applicable.
  • Do include all required attachments, such as resumes and declarations of good moral character.
  • Do double-check for completeness before mailing the application.
  • Don't leave any sections of the form blank; incomplete applications will be rejected.
  • Don't use a P.O. Box for the program street address.
  • Don't forget to include the application fee, as it is non-refundable.
  • Don't submit outdated or incorrect information; accuracy is crucial.
  • Don't neglect to sign and date the application before submission.

Misconceptions

Understanding the Florida CF 831 form can be challenging, and there are several misconceptions surrounding it. Here are six common misunderstandings:

  • It is only for new applications. Many people believe the CF 831 form is only required for new certifications. In reality, it is also necessary for annual renewals, changes in ownership, or updates to program details.
  • Only the owner needs to sign the application. Some think that only the program owner must complete the application. However, if the program is a corporation or partnership, a designated representative must also be involved in the application process.
  • The application can be incomplete. There is a misconception that an incomplete application will still be considered. In fact, an incomplete application will not be accepted, which can delay the certification process.
  • There are no fees for renewal. Some individuals assume that renewing certification is free. In truth, there is a renewal fee of $150 that must be paid along with the application.
  • All facilitators are automatically approved. It is a common belief that facilitators do not need approval if they have previously worked with the program. However, all facilitators must still be approved by the department, and documentation must be maintained in personnel files.
  • Certification is transferable. Many people think that certification can be transferred from one program to another. This is incorrect; certification is non-transferable and is specific to the program for which it was issued.

Being aware of these misconceptions can help ensure a smoother application process for those involved in batterer intervention programs in Florida.

Key takeaways

  • The Florida CF 831 form is essential for both new applications and annual renewals for batterer intervention programs.

  • Applicants must provide accurate and complete information; an incomplete application will be rejected.

  • Each circuit requires a separate application and fee, so ensure you submit accordingly.

  • All facilitators involved in the program must be approved by the department, and their qualifications need to be documented.

  • Certification fees are non-refundable, and the certification lasts for one year, making it crucial to renew on time.